Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury at LODI MEMORIAL HOSPITAL ASSOCIATION INC
975 S Fairmont Ave, Lodi, CA · Adventisthealth · · NPI 1316938301
$317.52
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$4,536.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$40.00 with MEDI-CAL vs $10,170.44 with BRIGHT HEALTH - ALL PLANS — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| MEDI-CAL | MEDI-CAL | $40.00 | ↓ -87% |
| BC MCAL | BC MCAL | $40.00 | ↓ -87% |
| KAISER MCAL | KAISER MCAL | $40.00 | ↓ -87% |
| CELTIC INS COMPANY - ALL PLANS | CELTIC INS COMPANY - ALL PLANS | $40.00 | ↓ -87% |
| HP MCAL PRO FEE | HP MCAL PRO FEE | $44.00 | ↓ -86% |
| HEALTHNET MCAL | HEALTHNET MCAL | $48.00 | ↓ -85% |
| HP OF SAN JOAQUIN MCAL | HP OF SAN JOAQUIN MCAL | $48.00 | ↓ -85% |
| MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | MEDCORE(OMNI IPA) OP ONLY- ALL PLANS | $860.60 | ↑ +171% |
| BLUE SHIELD EPN - ALL OTHER PLANS | BLUE SHIELD EPN - ALL OTHER PLANS | $1,072.44 | ↑ +238% |
| BLUE SHIELD NON-EPN | BLUE SHIELD NON-EPN | $1,112.16 | ↑ +250% |
| ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | ALIGNMENT HEALTH PLAN (AHP)-ALL PLANS | $1,228.83 | ↑ +287% |
| TRICARE BLUE SHIELD - ALL PLANS | TRICARE BLUE SHIELD - ALL PLANS | $1,228.83 | ↑ +287% |
| KNNEX HEALTH - ALL PLANS | KNNEX HEALTH - ALL PLANS | $1,228.83 | ↑ +287% |
| BLUE SHIELD MCARE ADV | BLUE SHIELD MCARE ADV | $1,228.83 | ↑ +287% |
| HEALTHNET MCARE | HEALTHNET MCARE | $1,228.83 | ↑ +287% |
| UHC MCR ADV | UHC MCR ADV | $1,228.83 | ↑ +287% |
| HP OF SAN JOAQUIN MCR ADV | HP OF SAN JOAQUIN MCR ADV | $1,228.83 | ↑ +287% |
| HUMANA MCR ADV - ALL PLANS | HUMANA MCR ADV - ALL PLANS | $1,228.83 | ↑ +287% |
| HP HEALTHY KIDS PRO FEE | HP HEALTHY KIDS PRO FEE | $1,290.27 | ↑ +306% |
| AETNA - ALL PLANS | AETNA - ALL PLANS | $1,348.49 | ↑ +325% |
| AH EMPLOYEE HEALTH PLAN - ALL PLANS | AH EMPLOYEE HEALTH PLAN - ALL PLANS | $1,351.71 | ↑ +326% |
| KAISER COMMERCIAL - ALL OTHER PLANS | KAISER COMMERCIAL - ALL OTHER PLANS | $1,357.10 | ↑ +327% |
| FIRST HEALTH- ALL PLANS | FIRST HEALTH- ALL PLANS | $1,474.60 | ↑ +364% |
| CIGNA- ALL PLANS | CIGNA- ALL PLANS | $1,528.76 | ↑ +381% |
| MULTIPLAN- ALL PLANS | MULTIPLAN- ALL PLANS | $1,597.48 | ↑ +403% |
| BEECH STREET- ALL PLANS | BEECH STREET- ALL PLANS | $1,597.48 | ↑ +403% |
| HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | HP OF SAN JOAQUIN PPO - ALL OTHER PLANS | $1,597.48 | ↑ +403% |
| HEALTHNET- ALL OTHER PLANS | HEALTHNET- ALL OTHER PLANS | $1,625.54 | ↑ +412% |
| NETWORKS BY DESIGN- ALL PLANS | NETWORKS BY DESIGN- ALL PLANS | $1,655.00 | ↑ +421% |
| KAISER MCR ADV | KAISER MCR ADV | $1,658.92 | ↑ +422% |
| WESTERN GROWERS- ALL PLANS | WESTERN GROWERS- ALL PLANS | $1,757.23 | ↑ +453% |
| UHC JLL | UHC JLL | $1,840.00 | ↑ +479% |
| UHC ALL PAYER - ALL OTHER PLANS | UHC ALL PAYER - ALL OTHER PLANS | $1,840.00 | ↑ +479% |
| UHC HMO | UHC HMO | $1,840.00 | ↑ +479% |
| BLUE CROSS NON-MCS - ALL OTHER PLANS | BLUE CROSS NON-MCS - ALL OTHER PLANS | $2,217.64 | ↑ +598% |
| BLUE CROSS EXCHANGE | BLUE CROSS EXCHANGE | $2,391.81 | ↑ +653% |
| THREE RIVERS PROVIDER NETWORK- ALL PLANS | THREE RIVERS PROVIDER NETWORK- ALL PLANS | $2,979.00 | ↑ +838% |
| CCA HEALTH PLAN MCR ADV- ALL PLANS | CCA HEALTH PLAN MCR ADV- ALL PLANS | $5,085.22 | ↑ +1502% |
| BRIGHT HEALTH - ALL PLANS | BRIGHT HEALTH - ALL PLANS | $10,170.44 | ↑ +3103% |
Visitor-reported prices
Comments
Pr gastrorrhaphy suture perforated duodenal or gastric ulcer/wound/ injury at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| Mark Twain Medical Center | San Andreas | $2,428.91 | $628.88 – $3,574.06 |
| Healdsburg Hospital | Healdsburg | $2,266.44 | $2,335.00 – $5,194.65 |
| REEDLEY COMMUNITY HOSPITAL | Reedley | $861.84 | $39.67 – $8,181.99 |
| ST HELENA HOSPITAL | Vallejo | $740.10 | $548.03 – $2,601.56 |
| HANFORD COMMUNITY HOSPITAL | Selma | $861.84 | $40.00 – $4,958.78 |
| SAN JOAQUIN COMMUNITY HOSPITAL | Bakersfield | $680.40 | $35.00 – $4,958.78 |
| ADVENTIST HEALTH MENDOCINO COAST | Fort Bragg | $2,993.76 | $40.00 – $1,840.00 |
| WILLITS HOSPITAL INC | Willits | $1,360.80 | $70.00 – $2,286.71 |